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Individual

MRS. STACY BESS DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT,ATC

Contact information

Practice address
490 BESS RD, STATESVILLE, NC 28625-9575
(704) 902-5043
Mailing address
490 BESS RD, STATESVILLE, NC 28625-9575
(704) 902-5043

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2020
NC

Other

Enumeration date
04/25/2015
Last updated
04/25/2015
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